• 제목/요약/키워드: Korean sleep scale A

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2007년 개정 과학과 교육과정에서 자유탐구 방안 (A Freedom Inquiry Method by Revised Science Curriculum in 2007)

  • 이용섭;박미진
    • 대한지구과학교육학회지
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    • 제3권1호
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    • pp.65-75
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    • 2010
  • The purpose of this study is to present a Freedom Inquiry Method by Revised Science Curriculum in 2007. This study introduced IIM(Independent Inquiry Method), PBL(Problem Based Learning), Small Inquiry Method, Science Notebooks, Project Learning Method about Freedom Inquiry Method. The results of this study are as follows: First, IIM(Independent Inquiry Method) is studying method in the inquiry process center. The inquiry process is composed of total 9 phases, inquiry subject really it is, detailed aim deciding, information searching, it searches, quest result it arranges, aim evaluation, the report making, it announces, it evaluates, it is become accomplished. Second, It is a studying method which it starts with the problem which is Problem Based Learning, study atmosphere creation phase, problematic presentation phase and sleep static problem solving the phase which it attempts, it is become accomplished with autonomous studying phase, coordinated studying and discussion studying phase, discussion resultant announcement studying phase, arrangement and evaluation. Third, Small Inquiry Method, Call it accomplishes the call grade of the students among ourselves 4~8 people degree where only the quest learning capability is similar within class. Also interaction and coordinated function of the members between it leads and the subject which is given in the group it cooperates and it solves with it is a quest method which arrives to aim of commonness. This method divides on a large scale in three parts, it becomes accomplished in programming phase, quest accomplishment and resultant announcement. Fourth, Science Notebooks learns a scientific contents and a scientific quest function and the possibility of decreasing in order to be, from the fact that the help which it understands. This planing, data searching, it searches, becomes accomplished with resultant arrangement, announcement and evaluation. Fifth, The Project Learning Method the studying person oneself studying contents, it establishes a plan and it collects it accomplishes process of etc. it evaluates it leads and a subject and information and with real life it is a method which it studies naturally from the learning environment inside which is similar. This is preliminary phase, project start, project activity and project arrangement.

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노인과 청장년의 주관적 건강에 관한 비교 연구 (Determinants of the Self-Rated Health Status of the Elderly in Healthy City Wonju, Republic of Korea)

  • Nam, Eun-Woo;Ikeda, Nayu;Green, Jackie;Moon, Ji-Young;Park, Myung-Bae
    • 보건교육건강증진학회지
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    • 제25권5호
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    • pp.65-77
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    • 2008
  • 목적 : 본 연구는 노인의 주관적 건강과 연관된 요인들을 살펴보고 이러한 것들이 청장년층 들과는 어떻게 다른지를 규명하는데 그 목적이 있다. 방법 : 본 조사대상은 원주시에 거주하는 노인으로 하여, 65세 이상 노인들의 주관적 건강 결정요인과 $19{\sim}64$세 인구집단의 주관적 건강 결정요인을 분석하고 두 집단에 대하여 각각 회귀분석을 이용하여 이들을 비교하였다. 응답자는 청장년층이 1,685명, 노인이 188명 이다. 주관적 건강은 0에서부터 100까지 10점 단위로 표시하여, 11개의 카테고리로 나뉘어진자 모양의 그림을 제시하여 자신의 건강에 대하여 점수를 표시할 수 있도록 하여 측정하였다. 결과 : 원주시 노인들의 주관적 건강은 '가구소득', '교육', '배우자 유무', '적절한 취침', '불건강에 영향을 받는 일상생활 및 사회생활', '이동능력', '불안', '우울'과 관련이 있었다. 노인들에게서 유의한 변수는 '가구소득', '적절한 취침', '사회활동 참여'였고, 반면, 청장년층의 주관적 건강은 '농촌거주', '규칙적인 운동', '혼자거주', '아침식사 결식'과 같은 요소들이 영향을 주는 것으로 나타났다. 반면에 '아침식사 결식'은 노인의 주관적 건강에 유의하지 않았다. 결론 : 원주시 노인들의 건강을 향상시키기 위하여는 노인들의 특별한 요구를 충족시켜줄 수 있는 건강증진 프로그램을 개발하여야 하곤 이를 위해 사회적 자본의 강화와 같은 프로그램들을 건강도시사업에 도입 운영하여야 할 것으로 사료된다.

Chloral hydrate와 Hydroxyzine의 경구투여와 $N_2O-O_2$ 병용투여시 진정효과에 관한 연구 (A STUDY ON THE CONSCIOUS SEDATIVE EFFECT OF CHLORAL HYDRATE/HYDROXYZINE WITH AND WITHOUT $N_2O-O_2$)

  • 홍성준;이긍호
    • 대한소아치과학회지
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    • 제29권4호
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    • pp.489-497
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    • 2002
  • 경희대학교 치과대학병원 소아치과에 내원한 환자 중, negative이거나 definitively negative로 분류되는, 전신적으로 건강한(ASA I) 4세미만의 아동 20명(평균 30.8개월, 남아 12명, 여아 8명)을 대상으로 하여, 두 차례의 진료를 시행하였다. 첫 진료시 chloral hydrate(50mg/kg)와 hydroxyzine HCl(25mg)만을 경구투여하고, 동일한 대상에게 두 번째 진료시 chloral hydrate (50mg/kg)와 hydroxyzine HCl(25mg)의 경구투여와 함께 $N_2O-O_2$를 병용하여 통상의 보존적 처치를 시행하였다. 각 치료과정 별로 나타나는 진정효과를 Houpt의 평가표(수면, 울음, 움직임, 전반적 행동지수)에 의해 측정하였고, pulse oximeter를 이용하여 맥박수 및 동맥혈 산소포화도의 차이 등을 비교, 평가하여 그 결과 chloral hydrate와 hydroxyzine HCl의 경구투여와 함께 $N_2O-O_2$를 병용한 경우가 chloral hydrate와 hydroxyzine만을 경구투여한 경우에 비해 어린이의 행동조절에 더 바람직한 진정요법인 것으로 판단된다.

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항해사의 피로가 해양사고에 미치는 영향 평가에 관한 연구 (A Study on the Effects of Marine Accidents by Navigation Officers' Fatigue)

  • 조준영;금종수;장운재
    • 해양환경안전학회지
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    • 제16권2호
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    • pp.201-207
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    • 2010
  • 최근 국내에서는 연간 약 600여건의 각종 해양사고가 발생하고 있다. 해양사고의 발생에 관한 국 내외 많은 연구와 분석에 의하면 해양사고의 약 70~80%가 인적요인에 의해 발생하고 있다. 여러 인적요인 중에서도 항해사의 피로는 매우 중요한 요인이다. 항해사의 피로가 해양사고에 중요한 역할을 한다고 인식되고 있음에도 불구하고 항해사의 피로도를 정량적으로 파악할 수 있는 연구는 거의 미미하다. 따라서 본 연구에서는 해양사고 종류별로 인적요인에 의한 발생률을 분석하고, 문헌과 5점 척도를 이용한 설문조사를 통하여 항해사의 피로에 영향을 미치는 중요한 5가지 요인을 추출하였다. 그리고 ISM법을 이용하여 피로요인에 의한 해양사고 발생 위험성의 평가요소를 계층구조화하였다. 마지막으로 AHP법을 이용하여 추출된 각 피로요인의 중요도를 구하고 항해사의 피로에 의해 발생할 가능성이 높은 해양사고의 순위를 결정하였다. 그 결과 수면시간 0.386, 스트레스 0.302, 건강상태 0.139, 휴식시간 0.099, 음주 약물 0.074순으로 높은 것으로 나타났다. 또한, 인명사상사고 0.328, 충돌사고 0.308, 좌초사고 0.195, 침몰사고 0.094, 화재사고 0.075로 나타났다. 따라서 중요도가 높은 요소들을 중심으로 제어방안을 마련해야 할 필요가 있다.

이명 심각도에 따른 정신의학적 특징 (Psychiatric Characteristics According to Tinnitus Severity)

  • 김재홍;김정호;조성일;박상학;김상훈;추일한;김승곤
    • 생물정신의학
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    • 제22권1호
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    • pp.7-13
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    • 2015
  • Objectives The purpose of this study was to examine the psychiatric characteristics of outpatients with tinnitus. Methods A total of 88 subjects were included in this study. According to Tinnitus Handicap Inventory (THI) scores, the subjects were classified into two group ; a mild tinnitus symptoms (mild-tinnitus) group and a severe tinnitus symptoms (severe-tinnitus) group. A questionnaire was used for an assessment of demographic characteristics, and the THI, the Visual Analogue Scale (VAS) about tinnitus, the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI) are applied for evaluation of other clinical psychiatric characteristics. Results Higher THI scores were positively correlated with tinnitus course, the number of accompanying symptoms, and the VAS. BDI total scores, BDI factors, and BAI total scores were significantly higher in the severe-tinnitus group than in the mild-tinnitus group. Also suicidal ideation, interpersonal problems, sleep problems, occupational impairment, and fatigue were significantly higher in the severe-tinnitus group than in the mild-tinnitus group. Conclusions Tinnitus is a common disorder of hearing which is associated frequently with psychiatric problems. This study suggests that psychiatric interventions should be taken into consideration in the treatment of patients suffering from tinnitus.

정신분열병의 결핍증후군과 비결핍증후군에서 QEEG와 sLORETA를 이용한 비교연구 (Comparing Quantitative EEG and Low Resolution Electromagnetic Tomography Imaging between Deficit Syndrome and Non-Deficit Syndrome of Schizophrenia)

  • 이상은;임선진;이미경;이재원;한규희;이종일;심민영;윤해주;신병학
    • 수면정신생리
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    • 제17권2호
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    • pp.91-99
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    • 2010
  • 목 적: 본 연구는 정신분열병의 결핍증후군과 비결핍증후군이 다른 생물학적 동등성을 가진 독립된 질환일 수 있다는 가설 아래 quantitative EEG와 standardized LORETA (sLORETA)를 이용한 전기생리학적인 방법을 통하여 생물학적 병인을 파악하고자 시도되었다. 방 법: 정신분열병 환자를 대상으로 42명의 뇌파를 비교 분석하였으며 그 중 결핍증후군 환자군은 남자 10명과 여자 11명이었고 비결핍증후군 환자군은 남자 12명, 여자 9명이었다. 주파수 대역은 delta(1.5~4 Hz), theta(4~8 Hz), alpha(8~12 Hz), low beta(12~15 Hz), high beta(15~30 Hz)의 5가지로 분할하였고 EEG LAB을 이용한 파워스펙트럼 분석 및 standardized sLORETA software package를 이용하여 신호원을 국소화 하였다. 결 과: 파워 스펙트럼 분석에서 결핍증후군 집단은 비결핍증후군과 비교하였을 때 전두엽, 두정엽 및 측두엽 영역에서 delta파와 theta파의 유의한 활성도 증가를 보였으며 뇌파 스펙트럼은 간편 정신상태 평정 척도 중 철퇴/지연과 적대/의심 항목의 임상적인 특징과 유의한 상관관계를 보였다. sLORETA분석 결과에서는 배측 전대상피질에서 결핍증후군에서 유의하게 delta파의 활성도가 증가되었다. 결 론: 결핍증후군은 비결핍증후군과는 연관된 뇌 영역이 다를 수 있으며 특히 전두엽 영역의 신경회로 이상이 일차적 음성증상에 영향을 줄 것으로 생각된다.

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한방병원을 내원한 말초성 안면신경마비 환자의 사상의학적 임상 치료 : 후향적 단면연구 (Clinical Analysis of Facial Nerve Paralysis Patients Improved by Sasang Constitutional Medical Treat : A Retrospective Cross-Sectional Study)

  • 강석환;전수형;정종훈;나영주;서연주;김종원
    • 사상체질의학회지
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    • 제27권1호
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    • pp.138-148
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    • 2015
  • Objectives This study was conducted in order to analyze the distribution of Sasang constitution, herbmed, exterior-interior disease and concomitant symptoms of 36 facial nerve paralysis patients. Methods A clinical study was done on 36 patients, treated as facial nerve paralysis. Sasang constitution specialist diagnosed their constitution and gave prescription. Degree of improvement was evaluated by assessment scale or change of patient's complaint. Results 1) Distribution of sasang constituion : Taeeumin 21 patients, Soyangin 8 patients, Soeumin 7 patients. 2) Distribution of exterior-interior disease : Taeeumin and Soeumin were diagnosed as interior disease more than exterior disease, Soyangin was reverse. 3) Hyeongbangdojeok-san and Hyeongbangjihwang-tang (Soyangin), Galgeunhaegi-tang(Taeeumin) and Gwakhyangjeonggi-san(Soeumin) were used the most in each sasang constitution. 4) Seventeen patients had concomitant symptoms : digestive disorder, sleep disorder, tinnitus, hypertension, diplopia, itching, gout, neck-shoulder pain, constipation and dizziness. Conclusions Patients had different Sasang constitution and in the same Sasang constitution, they had different symptomatology.

협심증 환자의 증상경험과 관련요인에 관한 연구 (Symptom Experience and Related Factors in Patients with Angina Pectoris)

  • 우수희;엄애용;오의금
    • 기본간호학회지
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    • 제13권3호
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    • pp.447-456
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    • 2006
  • Purpose: This study was done to examine symptom experiences and related factors in angina patients. Method: The participants were 92 patients admitted to C university hospital between October and December 2004. The tools used were a questionnaire on symptom experience related to angina developed by Gensini(Coronary Angiographic Gensini Score). Global Assessment of Recent Stress Scale and a tool measuring performance of health behavior. Results: The mean score for symptom experience was relatively low (M=27.65, SD=18.44) as was the score for coronary severity (Gensini score) was 16.30 point (SD=18.04). The mean score for perceived stress was moderate (M=30.16, SD=12.26). Compliance was relatively good in these patients with angina (M=61.55, SD=7.60). Analysis of the correlation of symptom experience showed a statistically significant positive relationship with perceived stress (r=.410, p=.000). There was significant negative relationship (r=-.251, p=.016) between symptom experience and compliance. In the regression analysis, symptom experience was found to be significantly influenced by stress ($R^2$=.168, p=.000), age ($R^2$=.057, p=.002), and economic status ($R^2$=.061, p=.007). These variables explained 26.2% of the variance in symptom experience. Conclusion: The results of this study provide evidence that symptoms of angina can present not only as chest pain itself but also with fatigue, shortness of breath, and sleep disturbance as the most common symptoms.

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전자파의 직업성 노출평가 및 멜라토닌 분비량에 관한 연구 (An Occupational Exposure Assessment and Melatonin Excretion Level of Electromagnetic Fields(EMFs))

  • 김윤신;조용성
    • 한국산업보건학회지
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    • 제8권2호
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    • pp.264-271
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    • 1998
  • A pilot study was undertaken to examine the possible health effects of electromagnetic fields(EMFs). The purpose of this study was to investigate of the EMFs exposures of personal environment, 60Hz magnetic fields. An experimental study was performed for six weeks of January-February 1998 to compare changes in melatonin levels in urine of 20 subjects during their normal sleeping hours and each 20 subjects in occupational and non-occupational group measured personal 24-h continual exposure, using EMDEX II (for 40-800Hz, Enertech Consultant, Inc.). An urine samples were collected 3 times a day(before sleep or around 24:00 ; immediately after wake-up ; around noon) for an week from each subjects and analyzed by radioimmunoassay. This study did not significant difference for the subjective average melatonin levels between occupational and nonoccupational groups exposed to electromagnetic fields. The mean personal exposure levels of occupational group were $0.215{\mu}T$, whereas non-occupational group were $0.18{\mu}T$. Occupational group were exposed more highly while at work. Finally, this study would provide significant data for furture study of exposure assessment of magnetic fields. A large scale study concerning more detailed exposure assessment should provide important information on health risk assessment of MFs. Further study should provide information on the contribution of various sources and the relationship between melatonin and immune system activity.

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복합부위통증증후군 환자에게 시행한 매몰식 펌프를 이용한 지주막하강 내 약물투입 -증례보고- (Implantable Intrathecal Drug Delivery Pump in Complex Regional Pain Syndrome Patient -A case report-)

  • 서경수;한경림;김세영;박경언;김찬
    • The Korean Journal of Pain
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    • 제22권1호
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    • pp.74-77
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    • 2009
  • Implantable intrathecal pump is one of the therapeutic options for intractable pain. A 24-year-old male with complex regional pain syndrome was suffering from right lower extremity pain. He had all modalities of treatment including spinal cord stimulator. However, his pain had been worse in the past 6 months. His visual analogue pain scale (VAS) was 8-10 and he could not sit or walk. Only opioid was thought to be effective. Then, intrathecal pump was considered. We estimated the minimal effective dose of spinal morphine before implantation. 0.3 mg of morphine was injected intrathecally as a starting dose. Dosage had been increased up to 0.8 mg in 10 days. His VAS score decreased from 8 to 5. He could sleep without pain and walk with crutch. Therefore, intrathecal pump was inserted. He could tolerate to pain. This case suggests that intrathecal morphine delivery can provide effective treatment for intractable non-malignant pain.